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MedicaidAdministrativeMedium impact

New Specialty 309 (Behavioral Health Training Clinic) To Be Created Under Provider Type 14 (Behavioral Health Outpatient Treatment)

Nevada Medicaid·NV · Psychiatry·Provider Enrollment
Effective date
Sep 21, 2026
We identified it
Sep 10, 2026
Days to comply
6 days

Summary

Nevada Medicaid is creating a new specialty 309 (Behavioral Health Training Clinic) under Provider Type 14 (Behavioral Health Outpatient Treatment), effective September 21, 2026. This specialty will provide outpatient behavioral health services through Nevada-accredited university-operated clinics. Billing teams must prepare for enrollment processes, new billing guide requirements, and prior authorization rules.

Action Required

Before Sep 21, 2026
By September 21, 2026: (1) Billing team must obtain and review the updated PT 14 Billing Guide when posted to the Billing Information page to identify specialty 309 billable codes, billing instructions, and prior authorization requirements. (2) If your organization operates or partners with a Nevada-accredited university behavioral health training clinic, the provider must enroll with a unique NPI through the Provider Flex tool and complete the specialty 309-specific enrollment checklist available on the Enrollment Checklists page. (3) Billing team must update billing system configuration to reflect specialty 309 coverage, billing codes, and any prior authorization workflows once the billing guide is published. (4) Reference Medicaid Services Manual Chapter 4500 (Behavioral Health Training Clinic) for complete policy details. Failure to comply with enrollment and billing requirements will result in claim denials for specialty 309 services.